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21. 发明申请

US20150105680A1 METHOD FOR DISCRIMINATING BETWEEN VENTRICULAR AND SUPRAVENTRICULAR ARRHYTHMIAS 审中-公开
标题翻译：用于分离心室和子宫颈间质瘤的方法
公开(公告)号：US20150105680A1
公开(公告)日：2015-04-16
申请号：US14573475
申请日：2014-12-17
申请人： CAMERON HEALTH, INC.
发明人： Alan H. Ostroff , Jay A. Warren , Gust H. Bardy
IPC分类号： A61B5/0452 , A61B5/00 , A61B5/0464
CPC分类号： A61N1/3956 , A61B5/0422 , A61B5/04525 , A61B5/0464 , A61B5/686 , A61N1/3925 , A61N1/3987
摘要： The present invention is directed toward a detection architecture for use in implantable cardiac rhythm devices. The detection architecture of the present invention provides methods and devices for discriminating between arrhythmias. Moreover, by exploiting the enhanced specificity in the origin of the identified arrhythmia, the detection architecture can better discriminate between rhythms appropriate for device therapy and those that are not.
摘要翻译：本发明涉及用于可植入心律装置的检测架构。本发明的检测架构提供了用于区分心律失常的方法和装置。此外，通过利用识别的心律失常起源的增强的特异性，检测架构可以更好地区分适合于设备治疗的节律和不适合的治疗节律。

22. 发明授权

US08954136B2 Implantable cardiac systems with baseline correction in response to noise detection 有权
标题翻译：可植入心脏系统，具有响应噪声检测的基线校正
公开(公告)号：US08954136B2
公开(公告)日：2015-02-10
申请号：US14455114
申请日：2014-08-08
申请人： Cameron Health, Inc.
发明人： Paul Freer , Rick Sanghera , Venugopal Allavatam
IPC分类号： A61B5/04 , A61B5/00
CPC分类号： A61B5/7217 , A61B5/04017 , A61B5/0452 , A61B5/046 , A61B5/686 , A61B5/7203 , A61N1/36 , A61N1/362 , A61N1/37
摘要： Implantable cardiac devices and methods of their use. A method of operation in an implantable cardiac device may include steps for characterizing detected events as noise or not noise, identifying a set of consecutive noise events or a threshold quantity of noise events in a set period of time and declaring a noisy series to have occurred. In response to the declaration of a noisy series, the method initiates a baseline correction algorithm. Devices for performing such methods are also disclosed.
摘要翻译：可植入的心脏装置及其使用方法。可植入心脏装置中的操作方法可以包括用于将检测到的事件表征为噪声或非噪声的步骤，在设定的时间段内识别一组连续的噪声事件或噪声事件的阈值量并且声明已发生嘈杂的系列。响应于噪声系列的声明，该方法启动基线校正算法。还公开了用于执行这些方法的装置。

23. 发明申请

US20140324068A1 APPARATUS FOR SUBCUTANEOUS ELECTRODE INSERTION 审中-公开
标题翻译：用于插入电极插入的装置
公开(公告)号：US20140324068A1
公开(公告)日：2014-10-30
申请号：US14324407
申请日：2014-07-07
申请人： Cameron Health, Inc.
发明人： Michael Ko , Duane Tumlinson
IPC分类号： A61N1/05
CPC分类号： A61N1/05 , A61M25/0668 , A61N1/056
摘要： Devices and methods for electrode implantation. A first embodiment includes an electrode insertion tool adapted to tunnel through tissue and attach, at its distal end, to a lead, such that the lead may be pulled into the tunneled space as the electrode insertion tool is removed. Additional embodiments include methods for inserting electrode/lead assemblies, including a method wherein an insertion tool is first used to tunnel through tissue, then to pull an electrode/lead into the tunneled space. In a further embodiment the insertion tool is next used, with a splittable sheath disposed thereon, to create an additional path into tissue, after which the insertion tool is removed, leaving the sheath in place; a lead is inserted to the sheath, and, finally, the splittable sheath is removed over the lead.
摘要翻译：用于电极植入的装置和方法。第一实施例包括电极插入工具，其适于穿过组织并在其远端附接到引线，使得当电极插入工具被移除时，引线可以被拉入隧道空间。另外的实施例包括用于插入电极/引线组件的方法，包括其中首先使用插入工具穿过组织，然后将电极/引线拉入隧道空间的方法。在另一实施例中，接下来使用插入工具，其上设置有可分开的护套，以产生进入组织的附加路径，然后移除插入工具，使护套保持在适当位置; 将引线插入护套中，最后将可分层护套从引线上取下。

24. 发明申请

US20140296932A1 SYSTEMS AND METHODS FOR SENSING VECTOR SELECTION IN AN IMPLANTABLE MEDICAL DEVICE 审中-公开
标题翻译：用于在可植入医疗装置中感测矢量选择的系统和方法
公开(公告)号：US20140296932A1
公开(公告)日：2014-10-02
申请号：US14304084
申请日：2014-06-13
申请人： Cameron Health, Inc.
发明人： Rick Sanghera , Venugopal Allavatam
IPC分类号： A61N1/368
CPC分类号： A61B5/04011 , A61B5/0031 , A61B5/04012 , A61B5/0422 , A61B5/0452 , A61B5/686 , A61N1/368 , A61N1/3704 , A61N1/37211 , A61N1/3918 , A61N1/3956
摘要： Methods and devices for sensing vector analysis in an implantable cardiac stimulus system. In an illustrative example, a first sensing vector is analyzed to determine whether it is suitable, within given threshold conditions, for use in cardiac event detection and analysis. If so, the first vector may be selected for detection and analysis. Otherwise, one or more additional vectors are analyzed. A detailed example illustrates methods for analyzing sensing vectors by the use of a scoring system. Devices adapted to perform these methods are also discussed, including implantable medical devices adapted to perform these methods, and systems comprising implantable medical devices and programmers adapted to communicate with implantable medical devices, the systems also being adapted to perform these methods. Another example includes a programmer configured to perform these methods including certain steps of directing operation of an associated implanted or implantable medical device.
摘要翻译：用于在可植入心脏刺激系统中感测矢量分析的方法和装置。在说明性示例中，分析第一感测向量以确定在给定阈值条件内是否适合用于心脏事件检测和分析。如果是这样，可以选择第一个载体进行检测和分析。否则，分析一个或多个附加向量。详细的例子说明了通过使用评分系统来分析感测矢量的方法。还讨论了适于执行这些方法的装置，包括适于执行这些方法的可植入医疗装置，以及包括适于与可植入医疗装置通信的可植入医疗装置和程序员的系统，该系统还适于执行这些方法。另一示例包括被配置为执行这些方法的程序员，包括指导相关联的植入式或可植入医疗设备的操作的某些步骤。

25. 发明申请

US20140200592A1 ELECTRODE INSERTION TOOLS, LEAD ASSEMBLIES, KITS AND METHODS FOR PLACEMENT OF CARDIAC DEVICE ELECTRODES 审中-公开
标题翻译：电极插入工具，铅组件，用于放置心脏装置电极的套件和方法
公开(公告)号：US20140200592A1
公开(公告)日：2014-07-17
申请号：US14218267
申请日：2014-03-18
申请人： Cameron Health, Inc.
发明人： Stephen A.P. O'Connor
IPC分类号： A61N1/05
CPC分类号： A61N1/0587 , A61N1/05
摘要： Insertion tools, lead assemblies, kits, and methods for placement of cardiac device electrodes. In some embodiments, an insertion tool having a proximal end and a distal, dissecting end includes a structure configured to receive or engage a structure on a lead assembly. Some embodiments include a lead assembly having an end including a structure configured for engaging the distal end of an associated insertion tool. Some embodiments include kits or systems including both an insertion tool and a lead assembly, each having a structure for engaging the other. In these embodiments, the engaging structures may take several forms including threads, small posts, circular or semi-circular receiving members, and/or a slot. Some embodiments also include methods for placement of cardiac device electrodes with the assistance of an associated insertion tool, wherein the cardiac device electrodes are associated with a lead assembly having an end configured to engage a distal, dissecting portion of an associated insertion tool.
摘要翻译：插入工具，引线组件，试剂盒和放置心脏装置电极的方法。在一些实施例中，具有近端和远端解剖端的插入工具包括构造成接收或接合引线组件上的结构的结构。一些实施例包括具有端部的引线组件，该端部包括构造成用于接合相关插入工具的远端的结构。一些实施例包括包括插入工具和引线组件的套件或系统，每个具有用于接合另一个的结构。在这些实施例中，接合结构可以采取几种形式，包括螺纹，小柱，圆形或半圆形接收构件和/或槽。一些实施例还包括在相关联的插入工具的帮助下放置心脏装置电极的方法，其中心脏装置电极与引导组件相关联，导线组件的端部配置成与相关插入工具的远端解剖部分接合。

26. 发明申请

US20140094868A1 METHODS AND DEVICES FOR ACCURATELY CLASSIFYING CARDIAC ACTIVITY 审中-公开
标题翻译：用于精确分类心脏病活动的方法和装置
公开(公告)号：US20140094868A1
公开(公告)日：2014-04-03
申请号：US14096285
申请日：2013-12-04
申请人： Cameron Health, Inc.
发明人： Venugopal Allavatam , Surekha Palreddy , Rick Sanghera , Jay A. Warren
IPC分类号： A61N1/39
CPC分类号： A61N1/3987 , A61B5/024 , A61B5/04014 , A61B5/0452 , A61B5/6847 , A61B5/726 , A61N1/3704 , A61N1/3956
摘要： Methods, systems, and devices for signal analysis in an implanted cardiac monitoring and treatment device such as an implantable cardioverter defibrillator. In illustrative examples, captured data including detected events is analyzed to identify likely overdetection of cardiac events. In some illustrative examples, when overdetection is identified, data may be modified to correct for overdetection, to reduce the impact of overdetection, or to ignore overdetected data. New methods for organizing the use of morphology and rate analysis in an overall architecture for rhythm classification and cardiac signal analysis are also discussed.
摘要翻译：植入心脏监测和治疗装置如植入式心律转复除颤器中的信号分析方法，系统和装置。在说明性示例中，分析包括检测到的事件的捕获数据以识别心脏事件的可能过度检测。在一些说明性示例中，当识别出过度检测时，可以修改数据以校正过度检测，以减少过度检测的影响或忽略过度检测的数据。还讨论了在节律分类和心脏信号分析的整体架构中组织使用形态学和速率分析的新方法。

27. 发明申请

US20130324867A1 IMPLANTABLE CARDIAC SYSTEMS WITH BASELINE CORRECTION IN RESPONSE TO NOISE DETECTION 有权
标题翻译：具有基线校正的可调节心脏系统对噪声检测的响应
公开(公告)号：US20130324867A1
公开(公告)日：2013-12-05
申请号：US13909657
申请日：2013-06-04
申请人： Cameron Health, Inc.
发明人： Paul Freer , Rick Sanghera , Venugopal Allavatam
IPC分类号： A61B5/04
CPC分类号： A61B5/7217 , A61B5/04017 , A61B5/0452 , A61B5/046 , A61B5/686 , A61B5/7203 , A61N1/36 , A61N1/362 , A61N1/37
摘要： Implantable cardiac devices and methods of their use. A method of operation in an implantable cardiac device may include steps for characterizing detected events as noise or not noise, identifying a set of consecutive noise events or a threshold quantity of noise events in a set period of time and declaring a noisy series to have occurred. In response to the declaration of a noisy series, the method initiates a baseline correction algorithm. Devices for performing such methods are also disclosed.
摘要翻译：可植入的心脏装置及其使用方法。可植入心脏装置中的操作方法可以包括用于将检测到的事件表征为噪声或非噪声的步骤，在设定的时间段内识别一组连续的噪声事件或噪声事件的阈值量并且声明已发生嘈杂的系列。响应于噪声系列的声明，该方法启动基线校正算法。还公开了用于执行这些方法的装置。

28. 发明申请

US20130274822A1 SENSING VECTOR SELECTION IN A CARDIAC STIMULUS DEVICE WITH POSTURAL ASSESSMENT 有权
公开(公告)号：US20130274822A1
公开(公告)日：2013-10-17
申请号：US13919147
申请日：2013-06-17
申请人： Cameron Health, Inc.
发明人： Rick Sanghera , Venugopal Allavatam
IPC分类号： A61N1/37
CPC分类号： A61N1/37247 , A61B5/04011 , A61B5/042 , A61B5/1116 , A61B5/7221 , A61N1/36535 , A61N1/368 , A61N1/37 , A61N1/3702 , A61N1/3704 , A61N1/3925 , A61N1/3956
摘要： Methods, implantable medical devices and systems configured to perform analysis of captured signals from implanted electrodes to identify cardiac arrhythmias. In an illustrative embodiment, signals captured from two or more sensing vectors are analyzed, where the signals are captured with a patient in at least first and second body positions. Analysis is performed to identify primary or default sensing vectors and/or templates for event detection.

29. 发明申请

US20130150942A1 SUBCUTANEOUS DEFIBRILLATOR IMPLANTATION 有权
标题翻译：。US。。。。
公开(公告)号：US20130150942A1
公开(公告)日：2013-06-13
申请号：US13765088
申请日：2013-02-12
申请人： Cameron Health, Inc.
发明人： Alan H. Ostroff , Paul J. Erlinger , Gust H. Bardy
IPC分类号： A61N1/39
CPC分类号： A61N1/3956 , A61N1/375 , A61N1/3756 , A61N1/3906 , A61N1/3918 , A61N1/3968 , A61N1/3975
摘要： A subcutaneous cardiac device includes a subcutaneous electrode and a housing coupled to the subcutaneous electrode by a lead with a lead wire. The subcutaneous electrode is adapted to be implanted in a frontal region of the patient so as to overlap a portion of the patient's heart. The subcutaneous electrode is configured for therapy delivery in combination with one or both of the housing or a second subcutaneous electrode.
摘要翻译：皮下心脏装置包括皮下电极和通过具有引线的引线耦合到皮下电极的壳体。皮下电极适于植入患者的正面区域，以便与患者心脏的一部分重叠。皮下电极被配置为与外壳或第二皮下电极中的一个或两个结合的治疗递送。

30. 发明申请

US20130138169A1 Method and Devices for Performing Cardiac Waveform Appraisal 有权
标题翻译：执行心脏波形评估的方法和设备
公开(公告)号：US20130138169A1
公开(公告)日：2013-05-30
申请号：US13728815
申请日：2012-12-27
申请人： Cameron Health, Inc.
发明人： Surekha Palreddy , Jay A. Warren , James W. Phillips
IPC分类号： A61N1/365
CPC分类号： A61N1/365 , A61B5/0031 , A61B5/0422 , A61B5/04525 , A61B5/7207 , A61B5/7239 , A61N1/3622 , A61N1/368
摘要： Implementations of various technologies described herein are directed toward a sensing architecture for use in cardiac rhythm management devices. The sensing architecture may provide a method and means for certifying detected events by the cardiac rhythm management device. Moreover, by exploiting the enhanced capability to accurately identifying only those sensed events that are desirable, and preventing the use of events marked as suspect, the sensing architecture can better discriminate between rhythms appropriate for device therapy and those that are not.
摘要翻译：本文描述的各种技术的实现针对用于心律管理装置的感测架构。感测架构可以提供用于通过心律管理装置认证检测到的事件的方法和装置。此外，通过利用增强的能力来准确地仅识别那些感兴趣的事件，并且防止使用标记为可疑的事件，感测体系结构可以更好地区分适合于设备治疗的节律和不适合于设备治疗的节律。

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